Insurance Accepted
Commercial insurance plans and workers compensation plans
- Aetna – Commercial HMO, POS, PPO, Indemnity - Includes Aetna Signature Administrators, First Health, Meritain, PA Employees Benefits Trust Fund (PEBTF), Aetna Select, Aetna Savings Plus Plans of PA (Tier 2), Aetna Premier Care Network Plus Multi-Tier Plans
(Non-Par with Aetna Premier Care Network (APCN), certain Aetna Savings Plus Plans, Aetna Better Health, Kids CHIP, and DE Exchange Plans) - Cigna* – Commercial HMO, PPO and Open Access Products, Cigna LocalPlus, and Cigna + Oscar Plans
(Non-Par with Cigna Connect Individual & Family Plans (IFP) – EPO Connect and Local Plus)
*MLHS will be non-participating providers with Cigna effective 1/15/25 unless new contract terms are reached. - CorVel Workers Comp
- Coventry Workers Comp
- Contigo Health – f.k.a. Devon Health Services – PPO and Workers Comp
- Evolutions Healthcare (f/k/a Guardian Resources, Inc.) – Commercial & Workers Comp
- Geisinger Health Plan – Commercial, PA Exchange (Marketplace All Access) Plans and CHIP
(Non-Par with Narrow Network Plans: Marketplace Individual Premier HMO & PPO, High Performance Network and PEBTF Network) - Highmark of PA – Commercial HMO/PPO/EPO and ACA Plan
- Independence Blue Cross – Commercial products include Keystone HMO, Personal Choice PPO, Indemnity, Proactive Plans (Tier 3), FEP, AmeriHealth Plans of PA, AmeriHealth NJ Regional Preferred Network, AmeriHealth Administrators, Independence Administrators, Exclusive Provider Organization (EPO) & CHIP, Jefferson & MLH Employees DVACO plan
(Out of Area Blue Cross/Blue Shield Plans – Non-Par with Horizon’s Omnia plan, and all BCBS plans without a PPO suitcase logo on the ID card) - MultiPlan PPO (acquired Private Health Care, BeechStreet, PPONext & Integrated Health Plan)
(Riddle Hospital is Non-Par with Private Health Care Network) - Praxis Workers Compensation
- Prime Health Services – f.k.a Intergroup PPO (includes Clear Care Corp)
- Prime Health Services – Commercial & Workers Comp
- QualCare – Commercial & Workers Comp
- United Healthcare* – Commercial products include Oxford, Golden Rule, UMR, All Savers, Surest (formerly Bind), HSA ChoicePlus, and Student Insurance (UHC Choice Plus network)
(Non-Par with United HealthCare Community Plan and Kids CHIP) - UPMC Health Plan – Commercial HMO, PPO, POS (Traditional, Premium, Conversion, Gatekeeper, Total Advantage PPO), POS, Enhanced Access, EPO
- Velocity Provider National Network
*Effective April 1, 2024 Axia Women's Health is no longer a participating provider of United Healthcare. Patients receiving maternal fetal care under Axia providers at Main Line Health will remain covered. Patients looking to establish their OB/GYN care should call the contact center at 1.866.CALL.MLH or speak with your office manager to establish a new provider.
Managed Medicaid plans
- Geisinger Health Plan Family – HealthChoices
- Jefferson Health Plan f/k/a Health Partners Plan – HealthChoices and CHIP
- Keystone First (includes AmeriHealth Caritas of PA) – HealthChoices and Community HealthChoices
(Non-Par with Amerihealth Caritas of DE) - UPMC Health Plan – HealthChoices (UPMC for You) and Community HealthChoices (CHC HMO)
- PA Health and Wellness (Centene) – HealthChoices and Community HealthChoices
Medicare Advantage plans
- Aetna – Medicare Advantage HMO, POS, PPO, NJ State & School Employees' Health Benefit Programs, Dual Eligible Special Needs Plan (D-SNP)
- Aetna Medicare Advantra (f/k/a Coventry Advantra), including Advantra Cares (SNP) - Dual Eligibles
- Alterwood Advantage – effective 1/1/26 (possible out of state business prior to 2026)
- Cigna Medicare* – (f/k/a HealthSpring) HMO (HMO PA Plans Only) & PPO plans, including CHS Alliance and Dual Eligible/Special Needs Plan
*MLHS is non-participating with Cigna Medicare effective 1/1/25 - Devoted Health Plan – Medicare Advantage HMO, PPO, DSNP
- Highmark Wholecare f/k/a Gateway Health Plan – Medicare Advantage – Dual Eligible/Special Needs Plans (Medicare Assured Diamond and Assured Ruby plans)
(Non-Par with Highmark Medicare Advantage Plans: Complete Blue PPO Choice Deluxe, Complete Blue PPO Premier, Freedom Blue PPO Valor, Freedom Blue PPO Basic, Freedom Blue PPO ValueRx and Freedom Blue PPO Standard) - Geisinger Health Plan – Medicare Advantage
- Humana – Medicare Advantage HMO, PPO, PFFS, including Special Needs Plan, Humana Gold SNP
- Independence Blue Cross – Medicare Advantage products include Keystone 65, Keystone 65 Select, Keystone 65 Focus and Personal Choice 65, Tiered MA PPO
(Non-Par with AmeriHealth NJ’s Medicare Advantage PPO) - Jefferson Health Plan f/k/a Health Partners Plan – Medicare Advantage (HMO, Dual HMO, Special HMO DSNP
Effective 1/1/25 Main Line Health will also participate in Medicare Advantage PPO Plans - Flex, Flex Plus and Flex Pro
(Non-Par with Jefferson Health Plan Commercial Exchange Plans) - Keystone First VIP Choice Dual Eligibles covered by Medicare Advantage Special Needs Plan
(Non-Par with Amerihealth Caritas VIP/D-SNP Plans of PA and DE) - Mercy LIFE
- PA Health and Wellness Medicare Advantage Plans – WellCare by Allwell HMO, WellCare by Allwell PPO and Wellcare by Allwell – Dual Eligible Special Needs
- Perenniel Advantage – effective 1/1/25 (possible out of state business prior to 2025)
- Provider Partners Health Plan – Medicare Advantage
- Spartan Plan PA (d/b/a Sunrise Advantage)
- United Healthcare – Medicare Advantage Individual Plans (such as AARP) and United Medicare Solutions Dual Complete Special Needs Plans (D-SNP) - PA Only, Medicare Advantage Group Retiree PPO, Institutional Special Needs Plans (I-SNP), Erickson/Evercare
(Non-Par with Medicare Private Fee-For-Service Plans and Medical Savings Accounts) - UPMC Health Plan – Medicare Advantage (UPMC for Life HMO/PPO), Medicare and Medical Assistance Dual Eligible (UPMC for Life Duals), Medicare Institutional Special Needs Plan (UPMC for Life Options)
Veterans Administration and Tricare
- Humana Tricare Military Select & Prime
- Optum VA Community Care Network
- VA Direct – (MLH HomeCare and Bryn Mawr Rehab)
Behavioral health plans
- Aetna Behavioral Health
- Carelon f/k/a Beacon Health Options
- Evernorth Behavioral Health f/k/a Cigna Behavioral Health
- Community Care Behavioral Health (CCBH) – HealthChoices Medicaid – Chester and Delaware Counties
(Non-par with Bryn Mawr Hospital ECT) - CCBH Commercial – UPMC Health Plan
(Mirmont Treatment Center only) - ComPsych
- Highmark Wholecare f/k/a Gateway Health Plan – Medicare Advantage
(Par with Bryn Mawr Inpatient Psych/ECT, Women’s Emotional Wellness Center and Main Line HealthCare Behavioral Health Providers) - Geisinger Health Plan – Commercial (includes CHIP) and Medicare Advantage
- Highmark (BC/BS of DE)
(Mirmont only) - Highmark (BC/BS of PA)
(Par with Bryn Mawr Inpatient Psych/ECT, Women’s Emotional Wellness Center, Mirmont, Mirmont Therapists and Main Line HealthCare Behavioral Health Providers) - Independence Blue Cross
- Magellan – Commercial and Medicare Advantage
(includes Jefferson Health Plan f/k/a Health Partners Plans and Devoted Health Plan Medicare Advantage) - Magellan HealthChoices – Medicaid plan for Bucks and Montgomery Counties
(Northampton and Lehigh Counties for Mirmont Treatment Center)
(Non-Par with Bryn Mawr Inpatient Psych/ECT, Women’s Emotional Wellness Center, Mirmont, Mirmont Therapists and Main Line HealthCare Behavioral Health Providers) - Mental Health Consultants
- Optum VA Community Care Network
- Quest Behavioral Health
- United Behavioral Health/Optum – Commercial, Medicare Advantage, and CHIP
(includes All Savers Commercial)
A special note to new and expecting parents
Most insurance companies require that a new child be added to the parent's policy within 30 days of birth. Failure to do so could result in non-payment for the child's hospital services by the insurance company. If this occurs, the parent/responsible party will be billed for the services. Please check with your insurance company to determine when they require a new child to be added to the policy.